| NPI | 1982362281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| 175T00000X Peer Specialist | |
| 251B00000X Case Management | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.185363) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2023-09-12 |